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health insurance company
Provide clinical expertise across the enterprise for various functions. Responsible for corporate and medical policy interpretation, recommendation, and review within recognized areas of responsibility. Advise and…
Description The Care Manager RN leads the coordination of a multidisciplinary team to deliver a holistic, person centric care management program to a diverse health plan population with a variety of health and social…
SUMMARY: The Nurse Case Manager (NCM) is responsible for applying medical knowledge in reviewing workers’ compensation claims to assess, evaluate, plan, implement and oversee the treatment appropriateness for…
Provides clinical program leadership and develops, implements and approves policies within recognized area of responsibility. Develop and maintain medical policy. Establish rationale for approving inquires and appeals.…
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